{"entity":{"id":9360646,"state":"FL","state_id":"F24000000083","entity_name":"PHYSICIANS INSURANCE A MUTUAL COMPANY","entity_type":"FORP","entity_type_normalized":"foreign_profit","status":"A","filing_date":"2024-01-08","filing_year":2024,"business_age_years":2,"principal_address1":"601 UNION ST., STE. 500","principal_address2":"","principal_city":"SEATTLE","principal_state":"WA","principal_zip":"98101","principal_country":"US","mail_address1":"601 UNION ST., STE. 500","mail_address2":"","mail_city":"SEATTLE","mail_state":"WA","mail_zip":"98101","mail_country":"US","location_name":null,"location_address1":null,"location_address2":null,"location_city":null,"location_state":null,"location_zip":null,"fei_ein":"911160717","jurisdiction":null,"county":null,"last_transaction_date":"","report_year_1":"2025","report_date_1":"04102025","report_year_2":"2025","report_date_2":"04102025","report_year_3":"","report_date_3":"","agent_name":"Financial Officer Chief","agent_type":"C","agent_address":"200 E. GAINES ST.","agent_city":"TALLAHASSEE","agent_state":"FL","agent_zip":"32399","process_name":null,"process_address1":null,"process_address2":null,"process_city":null,"process_state":null,"process_zip":null,"source_file":"cordata3.txt","fetched_at":"2026-05-09 11:29:25","updated_at":"2026-05-09 11:29:25","last_accessed":null,"status_reason":null,"agent_name_raw":"CHIEF FINANCIAL OFFICER"},"officers":[{"name":"David Do Carlson","first_name":"David","last_name":"Carlson","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"601 UNION ST., STE. 500","city":"SEATTLE","state":"WA","zip":"98101","name_raw":"CARLSON             DAVID         DO"},{"name":"Joseph Deng MD","first_name":"Joseph","last_name":"Deng","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"601 UNION ST., STE. 500","city":"SEATTLE","state":"WA","zip":"98101","name_raw":"DENG                JOSEPH        MD"},{"name":"David Dohnalek MD","first_name":"David","last_name":"Dohnalek","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"601 UNION ST., STE. 500","city":"SEATTLE","state":"WA","zip":"98101","name_raw":"DOHNALEK            DAVID         MD"},{"name":"Jennifer Hanscom","first_name":"Jennifer","last_name":"Hanscom","title":"Director","title_roles":["Director"],"title_code":"director","is_registered_agent":false,"address":"601 UNION ST., STE. 500","city":"SEATTLE","state":"WA","zip":"98101","name_raw":"HANSCOM             JENNIFER"},{"name":"Shane Macaulay MD","first_name":"Shane","last_name":"Macaulay","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"601 UNION ST., STE. 500","city":"SEATTLE","state":"WA","zip":"98101","name_raw":"MACAULAY            SHANE         MD"},{"name":"Eric Stoler MD","first_name":"Eric","last_name":"Stoler","title":"Director","title_roles":["Director"],"title_code":"dire","is_registered_agent":false,"address":"601 UNION ST., STE. 500","city":"SEATTLE","state":"WA","zip":"98101","name_raw":"STOLER              ERIC          MD"}],"filing_history":[],"status_history":[],"unknown":["status_history: we do not collect status-change histories from the source feeds, so this empty list means we hold none — NOT that this company's status has never changed. Observed changes we DID see are under `history`."],"verified_domains":[],"history":null,"web_contact":null,"provenance_url":"https://companies.rootz.global/api/provenance/FL/F24000000083"}